| NPI | 1992397426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT M WILLIAMS CEO 503-558-7372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-12-21 |